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COMPLIANCE INFO_2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0516192
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
6/29/2020 1:19:42 PM
Creation date
6/29/2020 9:07:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0516192
PE
2220
FACILITY_ID
FA0012503
FACILITY_NAME
SAN JOAQUIN RIVER CLUB
STREET_NUMBER
30000
STREET_NAME
KASSON
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
24115001
CURRENT_STATUS
01
SITE_LOCATION
30000 KASSON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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r � AUG 2 8 2019 <br /> ® ® a <br /> Job Site : 2355 RD . 192 DELANO , CA 93215 <br /> GENERATOR Ph . : ( 209 ) 863 -08881 FAX (661 ) 725 - 0654 <br /> Site EPA ID# ID# 46®0727047 / CAL000367042 <br /> LIC . AND INSURED TRANSPORTER # 3468 <br /> Contact Person Invoice No . <br /> Company Name Bill TO <br /> Address Name <br /> City, State , Zip Address _ <br /> Site Phone City, State , Zip <br /> i <br /> Date Customer PO Interval Net 30/C . O . D . /Cash/Check Drivers Truck/Name <br /> PRODUCT Waste CA Manifest # Quantity Units Price Amount <br /> Code <br /> Non-RCRA Hazardous Waste Liquid (Used Oil) 221 Gal <br /> Non-RCRA Hazardous Waste Liquid (Oil & Water) 223 Gal <br /> Non-RCRA Hazardous Waste Liquid (Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Dlum(s) <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil Drum(s) <br /> Drained Used Oil Filter Drum (s) Dtums(s) <br /> Empty Drum (s) Each <br /> Transportation & Truck Time & Washout HR. <br /> Hazardous Testing <br /> We pay [❑ Customer Pays 0 ' ''.. <br /> Unless otherwise specified on this Consolidated Manifest Receipt (Invoice ) Terms : Accounts due on the 10th of the month followingTotal <br /> month of purchase. Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1 .5% 'per month , which is the <br /> ANNUAL PERCENTAGE RATE OF 18% . <br /> I hereby certify that I have not mixed this waste with any other waste that the total halides are less than 1000 PPM , and that the waste does not contain <br /> any PCB's . I further agree ko�accept the additional charges for legal disposal if this , waste is over 1000 PPM , total halides , or contains any PCB's <br /> GENERATOR or J <br /> AUTHORIZED ! '(, I — DRIVER SIGNATURE : <br /> TERMS : INVOICE OVER 30 DAYS ARE SUBJECT TO A 1 .5% SERVICE CHARGE CUSTOMER AGREED TO PAY ALL LEGAL FEES OF COURT <br /> ACTION BECOMES NECESSARY TO COLLECT THIS INVOICE . <br /> Kern Oil here by advises the above Generator that Generators shipment of used oil may be transported to a facility that is required to comply with federal regulations <br /> applicable to management of used oil . But that is not required to comply with the more stringent requirements applicable to hazardous waste management facilities . <br /> Kern Oil Filter Recycling is authorized to file a request for EPA# from DTSC . California facilities that handle or process used oil are required to meet those more <br /> stringent requirements, and some out-of-state facilities that process used oil & also meet those requirements , engineering certifications of tank integrity, and financial <br /> assurances for closure an accidental releases . It is lawful to send used oil to out-of-state facilities that comply only with federal used oil management standards and <br /> not those more stringent requirements By signing the invoice the generator certifies that the generator has estpbiished a program to reduce the volume or quantity <br /> and toxicity of the hazardous waste to the degree, as determined by generator, to be economically practicable . By both parties signing this invoice it will serve as an <br /> agreement that Kern Oil will submit confirmations for (certain waste streams) to the generator that their waste has been transported to a licenced treatment or transfer <br /> facility. <br /> 0� California Oil Transfer ❑ BTI ❑ ❑ NAME <br /> 5300 Claus Rd , Bldg 11 1620 E Brundage Ln ADDRESS — <br /> Modesto, CA 95357 Bakersfield , CA 93307 CITY <br /> Ph:209-863-8181 CAL000282598 STATE, ZIP <br /> Fax: 209-863-81701 PHONE <br /> EPA# CAL000190816 EPA ID _ <br />
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